Benefits Summary for Member
and
Spouse
Medical Benefits Summary
Plan Summary
- Member Number
- 1234567
- Members Covered
- Member Spouse Child
- Coinsurance
- 20%
- Primary Care Provider Required
- Select a primary care provider
Prescription Drug Benefits Summary
Plan Summary
- Member Number
- 1234567
- Members Covered
- Member Spouse Child
Mental Health Benefits Summary
Dental Benefits Summary
Plan Summary
- Member Number
- 1234567
- Members Covered
- Member Spouse Child
- Coverage Limit
- $1,500 per individual per year
- Primary Care Dentist
- None
Current Spending
-
Your deductibleNetwork dental$200.00 of $500.00 Spent$0.00 $500.00
-
Annual MaximumNetwork dental$500.00 of $2,000.00 Spent$0.00 $2,000.00
-
Family deductibleNetwork dental$450.00 of $1,000.00 Spent$0 $1,000
How Your Plan Works
UHC Dental offers pre-negotiated rates with in-network dentists, so your out-of-pocket costs will be lower. Make sure your current or potential dentist is in-network. If a dentist is not contracted with UHC, they're considered out-of-network and can charge you full price.
Vision Benefits Summary
Plan Summary
- Member Number
- 1234567
- Members Covered
- Member Spouse Child
